Schools/Transportation

After School Camp

Why C3 Camps WE BELIEVE THAT WE HAVE THE MOST TO OFFER WHEN LOOKING FOR CHILD CARE IN OUR COMMUNITY. BECAUSE WE ARE LOCATED AT CLEAR CREEK PARK WE HAVE MANY AMMINITIES THAT MOST PLACES DON T HAVE. WE HAVE AMMINITIES SUCH AS INDOOR AND OUTDOOR SWIMMING POOLS, INDOOR AND OUTDOOR BASKET- BALL COURTS, PLAYGROUNDS, SPORTS FIELDS, TENNIS COURTS, GOLF COURSE, AND BEAUTIFUL TRAILS! WE ALSO FEEL THAT WE HAVE THE MOST AFFORDABLE PRICES FOR WHAT WE CAN OFFER OUR CAMPERS! ALL OF OUR C3 STAFF ARE CPR, FIRST AID AND AED CERTIFIED. ALL EMPLOYEES MUST PASS A BACKGROUND CHECK AND DRUG TEST. WE HOPE YOU BECOME A PART OF THE C3 FAMILY! Schools/Transportation We do our best to provide after school care to all of the families in the Shelby County area. Camp spots are determined by transportation availability for each school. We provide transportation from the following schools. Contact Jeff Ware at jware@shelbycountyparks.com

PAYMENTS Camp payments are due by 12:00pm the Monday of the current week. Your payment reserves your campers spot in the camp each week. Failure to make payment by the weekly deadline will result in loss of enrollment until fees are paid in full. Weekly bank drafts or credit card drafts are available. We ask that you please stay up to date on your payments per Shelby County Parks Board accounting policies and city/state auditing regulations. Examples: Week One Aug 2 4; $35 (three day week pro rated) Payment due anytime before 12:00pm Wednsday Aug 2. Week Two Aug 7 11: $50 (full time non member) Payment due anytime before 12:00pm Monday Aug 7.

TYPICAL DAY/ PICK UP We provide transportation from the listed Elementary schools and transport them back to the Waldridge Center located at Clear Creek Park. As kids arrive we understand that they are excited to be out of school and have lots of energy when they get off the bus, that s why they are welcomed with a snack provided by C3 camps and given time to hang out with friends and unwind. From there we move into an optional 30 min homework time. We understand that there are times when campers don t have homework or parents would rather them work on it from home. Please circle on the application if you want your camper to participate in homework while at C3 after school camp. With the introduction of the Chromebooks, it is very difficult for us to determine homework and play, Please inform your camper on your expectations for them during this time and to stay on task. Campers will then move straight to activity. Clear Creek Park has so many different things to offer our campers. We do our best to change up the activities from week to week but with limited time most of our activities center around the gym, rec fields and playground. We try to offer specialty activities throughout the year such as golf and tennis, hiking trails and canoeing along with swimming. Campers are given the option to swim on Fridays every week. Campers will need to bring swim clothes with them to camp if they wish to swim. Parents may pick up their camper anytime until 6:00pm. A $1 per minute late fee will be given starting at 6:01pm if the camper is still at camp past the 6:00pm pick up time. As parents arrive they will be greeted by a C3 staff member who will assist you in the sign out process, where a valid ID must be shown. Parents can then gather their campers belongings that will always be located in the Waldridge Center. A C3 staff member will then locate the camper and have them brought to you or they will direct you to where the camper is located. All C3 after school payments must be paid in the FAC front office. FAC Entrance Payments Waldridge Center Entrance Drop off & Pick up

The safety of your camper is our number one priority. The way the camp is set up will leave little opportunity for an incident to occur. ID will need to be provided when picking up your camper and in no circumstance can a camper leave with someone that is not on their pick up list. If you need to add a person to the pick up list or have an emergency, please notify an Assistant Director or Program Director. Seat belts are required to be on during the transportation of campers from the school to clear creek park. All van drivers have valid licenses and clean driver history's. Cell phones are not permitted to be used while operating a van, unless in the use of an emergency. Pool areas are big areas of concern when it comes to safety. All lifeguards are trained in water safety and are First Aid, CPR and AED certified. Pools and concession areas are routinely inspected by the health department to insure things are up to code. Swim test are given to test the campers ability to swim in the deeper indoor pool. In the event that a camper goes missing, there are very strict steps and procedures that all park staff must follow. All Assistant Camp Directors, Program Director and Park & Rec Director will be notified and shut down areas of the park where the incident occurred. These steps range from individual area shut downs to a Park wide shut down. Please instruct your camper to stay with the group at all times. Never hide from a staff member or horseplay during times of transition and counts.

All participants must wear proper swim attire at all times. White or grey garments may be worn over proper swim attire. Street shoes are not permitted on deck. Children 5 years of age or younger must have a responsible adult of 16 years or older in the water within arms reach. Children 11 years of age or younger must have a responsible adult of 16 years or older within the pool area. Children 2 years of age or younger must wear a swim diaper. No running on the pool deck, in the locker rooms, or in the hallways. No dunking, horseplay, or rough housing of any kind. No food or drinks other than water are permitted on deck. No glass bottles, gum, or tobacco products. Diving is permitted only in the deep end of the indoor pool. Only Coast Guard approved personal flotation devices are permitted. Do not hang on swim lanes or safety ropes. Shelby County Parks pool equipment are for lap swimmers, aerobics, and swim lessons only. Shelby County Park Lifeguards reserve the right to issue a pool break during high peak times. When lightning or thunder is detected, all patrons will exit the pool and pool deck for a minimum of 30 minutes. This is a family friendly facility. Any inappropriate behavior will not be tolerated. Shelby County Park Lifeguards and Management reserve the right to make any decision they deem to be in the best interest of the patron or overall safety.

Diving Board Rules 1. A swim test is required for all persons using the diving board. 2. One diver at a time is permitted on the board and ladder. 3. All divers must look before and wait until the area in the pool is clear before diving. 4. Divers must jump or dive only using one bounce. 5. No running off the end of the board, handstands, sitting or back dives are permitted. 6. Only jumping or diving straight off the end of the board is permitted. 7. Divers must be able to swim to the ladder unaided. They may not be assisted after jumping off of the board. 8. Goggles, masks, or flotation devices may not be worn going off the board. 9. Do not swim under the diving board at any time. 10.Any activities deemed unsafe by the lifeguards are not permitted. Indoor Frog Slide Rules 1. Only children ages 8 years and younger are permitted to use the slide. 2. You must go down the slide feet first. 3. One person on the slide at a time. 4. Climbing, jumping, or horseplay is not permitted on the slide. 5. Area at the bottom of slide must be clear before sliding. Outdoor Frog Slide Rules 1. Children of any age are permitted to use the slide. 2. You must go down the slide feet first 3. One person on the slide at a time. 4. Climbing, jumping, or horseplay is not permitted on the slide. 5. Area at the bottom of slide must be clear before sliding. Outdoor Waterslide Rules 1. Must be at least 48 tall to ride on the slide. 2. Use of slide is restricted to persons that have passed the swim test. Nonswimmers are not allowed to use the slide. 3. Only one person may go down the slide at a time. 4. Riders must go down the slide feet first. 5. Riders may not run, dive, stand, kneel, rotate, or stop in the slide at any time. 6. No personal flotation devices are to be worn while on the slide. 7. Swimwear with exposed zippers, buckles, rivets, or metal ornamentation is not permitted. 8. Riders must be able to swim or walk to the ladder unaided. They may not be assisted after riding down the slide. Lifeguard in the splashdown pool is for safety purposes only.

We ask that all campers conduct themselves in an appropriate manner while at camp. We want campers to have as much fun as they possibly can, that s why following the rules is important. We understand kids get excited when they get out of school and sometimes just get too wild and need a time out. Minor discipline infractions will be dealt with between camp staff and the camper. C3 staff will never put their hands on a camper, unless to restrain them from causing physical harm to themselves or others. We will not tolerate Bullying Behavior Sexual in nature Foul or inappropriate language Verbal or Physical abuse to other campers or staff Continuous Disrespect to C3 Staff or other campers If your camper is found doing any of the above mentioned they are at risk of being suspended for a day, a week or even the entire C3 after school camp. Parents will be notified and will discuss behavior with Assistant Camp Directors or Program Director. If behavior cannot be rectified, further disciplinary action will be taken. In the event your camper is removed from Clear Creek Camp, no refund will be given. Removal from camp will ultimately be made by the Program Director.

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Please keep the following Pages together. When completed, drop off the application to the front desk of the FAC with payment. Thank you for Joining the C3 family!

Clear Creek Camps Application 717 Burks Branch Road, Shelbyville, KY 40065 (502) 633-5059 - www.shelbycountyparks.com jware@shelbycountyparks.com Must be K 5th Child s Information: Child s Name: Preferred Name: Address: City St./Zip Birthdate Age Grade Gender School Parent/Guardian Information: (Please list in order of preferred contact) Name: Relation: Phone (H) (W) (C) Email: Name: Relation: Phone (H) (W) (C) Email: Emergency Contact: (NOT A PARENT - Contacted only if parent/guardian cannot be reached) Name: Relation: Phone (H) (W) (C) Name: Relation: Phone (H) (W) (C) Pick-up List: (Children are ONLY permitted to leave camp with individuals listed here, IDs will be checked) 1. Name: Relation: 2. Name: Relation: 3. Name: Relation: 4. Name: Relation: Medical/Allergy Information: Does your child have any type of medical condition? YES NO If yes, please explain: Is your child on any medication we should be aware of? YES NO If yes, please explain: Does your child have any allergies that we should be aware of (food, medicine, latex, bee stings, etc.) YES NO If yes, please explain: Authorization for Medical Care: In the event that emergency medical care is required, I give permission for a representative of the Parks Department and/or ambulance service to transport my child to the nearest medical facility to render treatment. Parent/Guardian Signature Date

Aquatic Permission Swimming: Clear Creek Park has three pools: Outdoor pool, Indoor big pool and Indoor frog / baby pool. * Swim Test will be given by certified lifeguards every Monday to determine the depth your child can go to. My child may go swimming: YES NO My child may jump off the diving board: My child must wear a life jacket: YES NO (only with passed swim test) YES NO Off Campus Trips: My child may be transported to other Shelby County Parks YES NO I give my child, permission to participate in the above listed activities that are planned and supervised by Shelbville/Shelby County Parks & Recreation Department and its camp staff. I also acknowledge that I have read the C3 camps booklet and understand the content provided for the camp. Parent/Guardian Signature Date Fees & schedules: Camp fees vary depending on FAC memberships and full time or part time status. $40 per camper per week for full time FAC members, $50 non member, $25 part time member and $35 part time non member. Camp payments are due by 12:00pm the Monday of the current week. Your payment reserves your campers spot in the camp each week. Failure to make payment by the weekly deadline will result in loss of enrollment until fees are paid in full. Weekly bank drafts or credit card drafts are available. We ask that you please stay up to date on your payments per Shelby County Parks Board accounting policies and city/state auditing regulations. C3 Holiday Camps will be offered during breaks and holidays throughout the year. Drop off starts at 7:30am and pick up is in until 6:00pm. All campers need to bring swim clothes if they choose to swim and a lunch. Snack will be provided by the camp. Electronics are welcomed at the own risk of Campers and guardians. Holiday camp is a PAY BEFORE YOU STAY program. Cost is $20 per day per camper. Payments must be made at the FAC front desk. Homework (C3 School only) I would like for my child to participate in homework while at C3 after school Camp: YES NO Waiver of Liability and Terms of Participation: 1. I understand that some camp activities are dangerous and that my child could be killed or seriously injured while participating. Injuries that could occur include, but are not limited to: paralysis, brain injury and broken bones. Recognizing the inherent risks associated with participating in the above noted program and still desiring my child to participate, I hereby agree to indemnify and hold harmless the Shelbyville -Shelby County Parks and Recreation Department, Shelby County Fiscal Court, the City of Shelbyville, and the members, employees and all individuals responsible for the conduct of activities involving my child for claims including, but not limited to claims of personal injury, hospitalization, etc. I also understand that the Parks and Recreation Department strongly recommends that each participant have medical approval before participating in any sport, aquatic, or fitness related program, and that I must inform the Department of any medical condition that may require special attention or treatment. 2. I warrant that my child/children or I are privately insured with a medical insurance policy. I understand the Shelbyville - Shelby County Parks and Recreation Department provides minimal insurance coverage, in certain programs only, that provides coverage once my present insurance is expanded. This coverage is on the participant during sport or activity participation only and does not provide coverage during transportation to and from the event. 3. I understand that registration fees must accompany this application in order for it to be processed. (Please make checks payable to Shelby County Parks. (If you have any questions concerning fees, please contact the department at 633-5059.) I understand that the Department will not issue refunds unless there is a medical reason that my child cannot participate in such case a doctor s statement must be received within 10 business days of seeking treatment stating why the individual cannot participate. 4. I understand and give permission for the Parks and Recreation Department or local media to photograph or video tape my child or me during participation in Parks and Recreation Department sponsored activities and to utilize them in advertising and/or promotion both in print and on the Department s website.. Parent/Guardian Signature Date